Evidence –based practice and its impact on nursing management and leadership
Recent changes in the American health care system, the challenges to recruit and retain nurses, and other factor observed such as quality of decision making in the work environment have been the leitmotiv encouraging me to conduct this study. I want to conduct a systematic research using interviews, evidence through the literature, the patient determination acts in the context of health care system. I will critique the findings and propose some changes based on data collected after the interviews.
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This work is a systematic review of the literature, which assesses the impact and benefit in using Evidence –based practice (EBP) in nursing management …show more content…
Ptefferl (2006) stated it is time to start an evidence –based movement in ranking manager, because the challenge is greater in management than medicine. Nurse Managers represent higher management, their decision should be made with the clear goal considering the vision of their organization. Efken (2010) believe a decision support tool should help manager make effective decisions if it is systematic and efficient with consideration of more alternative ways to reach the goal. Could evidence -based practice help meeting that goal? Management is not in opposition to leadership, in fact, if both require the mastery of different skills, they are interacting synergistically. Management focuses on applying policy and procedure, decision making consistency while leadership is showing the way to adapt the unit to …show more content…
Such initiatives are also likely to be sources of motivation to augment use of research and evidence-based nursing by floor nurses when they are promoted. The limit of the work is better understanding does not mean real implementation in improving the workplace environment (Wallin, 2006). But there is little evidence on what works and what organizations can do to support best management practice based on my reading. I came across a pamphlet online presenting the Current role and nature of managers in today’s NHS. Although official records state that 3% of staff are managers, new research suggests that around a third of hospital staff have substantial managerial roles. For example, I have observed charge nurse making decision for an entire unit. I will present a definition of different roles play by nurses at my Monroe Hospital. I found managers at bedside doing dressing and charge nurse making decision resulting in a dual role that could impact management of the unit efficiency. Another important finding that I believe exist in some of the literature is management and leadership functions is more distributed from top to bottom among nurses. Unfortunately they do not address the importance of education and constant Training for nurses in the manager